FORM 42A
Statement of Issue of Way bills in Form 42 received on ........................... (date of receipt on the previous occasion)
See rule 215 (3)
Name of the issuing dealer............................................................................................................. Address............................................................... No. of certificate of registration.........................
A
B
Note - This form duly filled in and signed is required to be furnished in duplicate to the appropriate assessing authority on each occasion with application for Waybill in Form No. 42